AMSN Connections - November 2018

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November 2018
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   The Self-Care and Palliative Care Issue
A Message from Your President

Our newsletter this month focuses in on two very important topics: Self-Care, which I discuss below, and Palliative Care.

These two important issues are impacting you and all of us in the nursing profession. We have included a variety of resources and information throughout this newsletter that we hope you find helpful. 

I recently attended an interdisciplinary summit focused on the promotion of resilience and well-being in healthcare. According to information released by the National Academy of Medicine, an estimated 43% of nurses experience high emotional exhaustion, one of the dimensions of burnout. Other dimensions include cynicism and a decreasing sense of professional and personal accomplishment.

A consequence of high-acuity patients and short staffing, the threat of burnout is real and something I experienced firsthand. I found myself sleeping poorly and becoming short tempered at home. I began to question my choice of profession; I still loved the patient care aspect but there was something missing. I felt like I didn’t have the time to provide the type of care I wanted to. The joy in the camaraderie with other nurses on the unit seemed diminished.

My own actions probably contributed to my feelings of emotional exhaustion and the dimming of the profession’s allure. I frequently volunteered for extra shifts, both to make extra cash and to have the opportunity to increase my experience and knowledge-base. I didn’t realize at the time how this would have a negative impact on my ability to rebound after code or near-code situations, or how it would impact my relationship with family and friends.

Counteracting burnout and building personal resiliency involves taking care of yourself, making time for regular rest periods to restore yourself physically and spiritually; taking part in general strengthening exercises and finding a coach or mentor to provide occupational support. Taking in a change of scenery, especially if one walks outside, can help change perspective. I have also found it improves problem-solving.

Another important factor in building resiliency involves building one’s sense of spiritual well-being. In this instance, spirituality can refer to whatever beliefs and values give you a sense of purpose.

Having a sense of spiritual well-being can help one navigate the emotional impact from traumatic events and stressful work assignments, especially if this is combined with healthy activities such as exercise, obtaining adequate sleep and healthy eating.

Because situations that are challenging both clinically and morally will most likely continue throughout our nursing careers, it is important that we enable ourselves and our colleagues to respond to situations in ways that protect against burnout and that we regularly practice methods of building resilience.

I encourage you to take that first step, commit to an action and do it.

This prevents feelings of being trapped and makes the stressors in our life more manageable.

AMSN will be beside you along the way and we will continue to work to ensure that your spark will not be lost. Through networking on the HUB and at the annual convention, articles in our publications, career resources, poster and podium presentations, research, and soon – podcasts, AMSN strives to help you maintain your personal well-being and your professional spark. 

Please feel free to e-mail me and let me know what you do to provide your own self-care; how do you fuel your spark?

Also consider posting what you do in the Nurses Station Hub to share with your peers.

Read my full article of self-care in the upcoming MedSurg Matters.

And hold onto this newsletter for reference; it is full of valuable resources!

Robin

Feel free to reach out at any time at robin.hertel@amsn.org.

Robin Hertel, EdS, MSN, RN, CMSRN

President, AMSN 2018-2020

Nursing Education Specialist

Ascend Learning

Leawood, KS

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In This Issue
Use the Table of Contents below to navigate to different sections using the HTML version of the newsletter. The link is found above. 
A Message from Your President, Robin Hertel 
 
Self-Care Resources
 
 
 
Leadership Development
 
Self-Care Resources
 
Town Hall - Workplace Resilience (available for a fee)
 
 
Staying Positive While Working with Pearl and Grumpy (available for a fee)
 
 
Grace under Pressure: Self Care in the Face of Workplace Incivility (non-CNE) 
 
 
 
AMSN's Corporate Partners
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Your Career
AMSN, HPNA and Advance Care Planning
Extending Our Network and Efforts for You!
Palliative Care and Advance Care Planning (ACP)
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As we approach the holidays, it’s a good time to remind ourselves how thankful families are when their loved ones have had the conversation with them to let them know their final wishes.

AMSN and 29 other health care organizations, representing more than 700,000 nurses, have joined together to promote advance care planning.

Is there any better way for nurses to demonstrate the value of advance care planning than to lead by example?

Nurses in all specialties are uniquely positioned to facilitate meaningful conversations with patients and families about present and future healthcare and how those interventions align with patient values, beliefs, and goals.

Advance care planning (ACP) is a process for patients and their families to discuss their wishes and goals of care for treatment and end-of-life care, clarify related values and goals and state preferences through written documents and medical orders (Institute of Medicine).

In situations where a patient’s decision-making capacity is limited, healthcare providers turn to family members to make decisions. When there have been no ACP conversations between the patient and family, family members are left to make decisions regarding life-sustaining treatment without input from the patient or with little knowledge of the patient’s wishes.

The ACP initiative, tagged “#ISaidWhatIWant” was developed in response to the work done at the 2017 Palliative Nursing Summit hosted by HPNA (Hospice and Palliative Nurses Association), encouraging all nurses to lead by example by establishing their own advance care plan.

The purpose of the Summit was to bring nurses together from various nursing specialties to develop a collaborative nursing agenda regarding advance care planning, pain and symptom management and transitions/coordination of care.

Following the summit, participating organizations, including AMSN, formed work teams to develop specific programs that will ultimately seek to influence public health by engaging nurses in targeted initiatives to enhance the care and outcomes for patients and their families.

While all members of the interdisciplinary health-care team provide patient care and engage in treatment discussions, due to the amount of time and ongoing conversations that nurses routinely have with patients; nurses are in a unique position to champion ACP.

If you have already made an advance care plan, please turn your attention to help your patients and the public realize the true value of advance care planning and advance directives.

Tell your family, friends, and followers on social media why you believe in ACP using the hashtag #ISaidWhatIWant and #AMSNACP.

Read more about ACP, End-of-Life and Palliative care below.
 
Fast Facts and Resources
Fast Facts
According to DiJulio, Hamel, Wu, & Brodie (2017), by 2040, the number of people age 85 or older in the United States is expected to triple – from 6.2 million in 2014 to 14.6 million in 2040.
 
In a large national survey conducted by DiJulio et al., (2017), only 34% of adults had a written document outlining their wishes for End of Life (EOL) and only 41% had a written document designating someone to make medical decisions on their behalf.
Resources
 
HPNA updated its position statement regarding the Ethics of the Use of Opioids in Palliative Nursing and has provided a variety of new position statements to assist med-surg nurses with understanding difficult End-of-Life (EOL) situations.
 
All of these position statements can be found online at  Advancing Expert Care Site.
  • Advance Care Planning
  • Physician-Assisted Death and Physician-Assisted Suicide
  • Guidelines for the Role of the RN and APRN when hastened death Is requested
The Conversation Project is a national campaign dedicated to helping people talk about their wishes for EOL care, and to transforming our culture by bringing discussions about dying into the open.
More Resources
Advance Care Planning Decisions offers videos and resources:
 
The American Bar Association offers a toolkit for ACP planning:
 
The American Cancer Society offers information about advance directives:
 
Begin the Conversation offers advice and information: 
Palliative Care Field Report
Making the Commitment, Practicing Compassion and My Spark!
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Denise Verosky 

MSN, ACNS-BC, ACHPN, CMSRN

Director of Palliative Care

University of Pittsburgh Medical Center,

Mercy Hospital

Pittsburgh, PA

Denise is the recipient of the 2018 AMSN President's Award as a role model who consistently volunteers her time, has served in a leadership position in the organization and has made significant contributions to assist AMSN in achieving its strategic goals.

In addition to serving on the board of directors and as president of her local chapter, she has been active on the AMSN PRISM Award Committee, the Affiliations Task Force, the Nominating Committee and as faculty and chairperson of the Certification Review Course 'On the Road' program.

She has spent her entire nursing career in the specialty of medical-surgical nursing.

We caught up with Denise to hear her insights about her work and palliative care practice. She explains that by definition, palliative care requires a multidisciplinary team approach. Teams are comprised of a social workers, nurses, physicians and spiritual care workers. She says this niche discipline takes a lot of skill and knowledge-based medicine, but it also requires teammates to be able to meet the patient and his or her family where they are. In other words, communication skills are paramount. She adds, there is a fine balance between medicine and psychology, "75% of what we do is counseling." It also takes a lot of practice and polish. In palliative, she says, "You have to deal with the emotions first so you don't fall into a pit. We have to recognize how patients are responding emotionally."

"Let's face it, we all know we're going to die but not when we're going to die."

"Taking care of chronic illness is not like nursing a hip replacement. These kinds of illness are situations when you see your life dramatically changing in front of you. It could be as simple as not being able to shop for your family anymore. That may not seem significant, but it dramatically changes how you interact with the world," explains Denise.

Denise says the individuals who are attracted to palliative care are somewhat self-selective.

"Anyone has the potential, but some are drawn to it naturally as a passion. They have an innate love, instinctual sense and talent on how to take care of people." They are drawn to it, but as she says, "We all need polish. I polish my skills all the time. It's not once-and-done. Paramount to this practice is recognizing the emotion in every individual patient."

She adds that nurses are individuals who are inspired by obligation.

"We teach, we inform and we help people get it. Any nurse regardless of where you are working has this ability, it is the heart of nursing. Most nursing involves some level of palliative care every day. Just look at the definition of palliative: the release of suffering. As nurses, we see suffering every day."

Definition of Palliative: The release of suffering.

Denise says she has always been attracted to this practice. "As a young nurse, I knew when I walked into a room -- I sensed an aura, a mood – that the patient was dying. I fell in love with hospice care early on in my career, but the time wasn't right. But it was always in my mind, and when I did graduate work in 2006, palliative was my focus.

So, I knew I'd end up there, I just didn't know exactly when or how. And when the job presented itself eight years ago, it was as though I found the right shoe to put on! I have been a nurse for over 40 years and no doubt my life experience adds to my bucket of tools to help me relate better in my work. Palliative may not be for a new nurse based on the intensity of the work."

"It helps to be able to empathize with your life experience."

Being able to work in a team is critical to palliative care. Denise says her team of five is her dream team. "It takes talent to be strong as a team when issues come up. And issues do show up.

"With the intensity of what we do, we have to defuse together. We take care of each other. We talk about death. We talk through death. We have lunch together every day when we absolutely don't talk about our work to forge our social bonds. It's as traumatic for us as it is for families and patients.

"Our commitment to each other is our foundation and saves us when we're rocked and things fall apart. If you don't have a healthy team, you can't have healthy outcomes."

Denise says there is a desperate need for palliative care both in-house and in long-term care. "The most important need is to pay attention to the goals of care. That is often the missing link in long-term facilities. The majority of what we see in the acute care environment is the urgent need to reach out into the community with adequate resources. And then there are insurance issues. The larger healthcare programs are beginning to cover long-term care. But if you live far away from a city, the travel, co-pay and inconvenience of it all creates a huge gap in treatment and care."

"The most valuable lesson is to listen to patients."

Denise advises nurses who are interested in palliative care to take advantage of their local resources. "Shadow the team. Watch their communications techniques. Observe and watch. The most valuable learned lesson is to listen to the patients," she says.

Palliative-care clinician careers last about eight to 10 years before burnout. Hospice careers can go on for decades.

Denise cautions, "How you deal with the intensity and stress is crucial. You have to pay attention to yourself. You have to keep your cup full to perform at a high level. To balance the stress, you have to be sure you decompress. My approach is I pray a lot; I appeal to a higher power to guide me and show me what to do. It's important to have a spiritual base to help connect to the world and give meaning to your life. I see myself as an instrument." On a more mundane, but equally important level, she gardens a lot, "Anything I can do to get outside and sink my hands into the soil. My dad taught me that. And pet therapy is invaluable for patients and families. Let's just say I talk to my dog a lot!"

"We midwife birth; we need to midwife death."

As an endnote, Denise says, "It is an extreme privilege for me to help people when they are so open and so vulnerable. I act as their advocate at such a tender transition time. We midwife birth; we need to midwife death. And it's a two-way street – sometimes I feel a patient does more for me that I have done for them. It's a humbling experience.

"And what inspires me is when I think about where people go when they die -- they actually live forever in our hearts."

"They never leave us."
Related Palliative Educational Activities
 
Identification:  MSNJ1810  
Issue: July-August 2018  
Volume: Vol. 27/No. 4
1.30 Contact Hours (Post Test or Evaluation Required)  
Available until 08/31/2020
 
Learning Outcome
After completing this learning activity, the learner will be able to describe primary palliative care and hospice care and the relevance to the medical-surgical nurse.
 
Authors
Elizabeth Croson, PhD, RN
Jessica Keim-Malpass, PhD, RN
Susan Bohnenkamp, MA, RN, ACNS-BC, CCM
Virginia LeBaron, PhD, APRN, FAANP
 
 
Identification:  MSNN1705 
Issue: September/October 2017 
Volume: Volume 26 - Number 5
1.20 Contact Hours (Post Test or Evaluation Required) 
Available until 10/31/2019
 
Learning Outcome
After completing this learning activity, the learner will be able to identify barriers and benefits to palliative care and will be able to advocate for palliative care services to help optimize patients' quality of life.
 
Authors
Kathleen Kerrigan, MS, RN, AGCNS-BC
Tracy A. Riley, PhD, RN, CNS, CNE
 
Plus here are a few additional CE resources (some for a fee):
 
 
 
 
 
End of Life (EOL) and Medical-Surgical Nursing
Straight Talk on EOL Conversations
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Linda Yoder

PhD, MBA, RN, AOCN, FAAN

Professor at the University of Texas at Austin

School of Nursing

Austin, TX

Linda believes that advanced care planning, palliative care, and end-of-life (EOL) care are serious and necessary topics for all nurses. She says, "In general, we are living much longer. Many healthcare personnel do not have a living will, a medical power of attorney, or an updated document indicating who our proxy for medical care will be in situations where we may be unable to speak for ourselves." She adds, "The first step is for us to make sure we have these documents for ourselves. Also, we must initiate conversations about dying and expectations with our family members." 

"Although this is not a fun topic, it is an important one!"

She explains that nearly 30 million Americans who hadn't had a conversation about their EOL care wishes with their loved ones said the discussion hadn't occurred because they just don't know how to start talking about it. The reality is people may not know how to express these wishes and medical providers may have failed to ask about them in a comforting and effective way. In addition, we must dispel the notion that EOL decisions are permanent. Preferences about the kind of care desired can change, and often do as people age and their health changes.

According to Linda, there are two key goals regarding EOL conversations:

  • People need to have the conversation about EOL care wishes with their families to let their loved ones know what matters most to them well in advance of a medical crisis. They need to have this conversation before a medical crisis occurs: at the kitchen table, not in the intensive care unit or the medical-surgical unit.
  • Clinicians need to strive to understand what matters most to patients, and then provide care that aligns with their wishes as much as possible.

She adds, "The reality is that medical-surgical nurses are integral to EOL care, and we must become familiar with the literature about this topic and our own feelings about dying. As medical-surgical nurses, we care increasingly for older patients with multiple chronic illnesses. We should know their wishes regarding palliative care and EOL care. I encourage you to think about how we can have these conversations with our patients and their families so their wishes can be honored."

Industry Innovations: Breakthroughs in Aging
Aging and the Brain
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Dr. Adam Gazzaley

Professor in Neurology and Psychiatry

University of California, San Franscisco

 
Founder & Executive Director, Neuroscape
San Francisco, CA
 
As a large part of our population is aging, the neuroscience community is working hard to find ways to mitigate the effects of aging and help make the process more dignified and graceful. Dr. Adam Gazzaley is a forerunner and doing breakthrough work to advance education and wellness, particularly in the area of aging. His focus is how neuroscience can reveal how the brain interacts dynamically with our complex world. Adam’s lab researches how new technologies, such as video games, might be used to enhance the functioning of the brain. He says within 10 years, doctors may be prescribing video games and other technologies to treat such conditions as Parkinson’s and Alzheimer’s Disease, Schizophrenia, Addiction, ADHD, Autism, Depression and Multiple Sclerosis. Adam says, “Our hope is that new technology can be used to maintain and even improve brain function as we age. It is possible it may indeed impact palliative care.”

Adam is a Professor in Neurology, Physiology and Psychiatry at University of California, San Francisco. He is also the Founder & Executive Director of Neuroscape, which uses a cutting-edge approach to improving brain function – building a bridge between neuroscience and consumer friendly technologies.

Neuroscape has a novel approach involving the development of custom-designed, closed-loop video games integrated with the latest advancements in software and hardware (virtual/augmented reality, motion capture, mobile physiological recording devices, transcranial electrical brain stimulation). These technologies are then advanced to rigorous research studies that evaluate their impact on cognition, as well as the neural mechanisms of these effects using a combination of functional magnetic resonance imaging (fMRI), electroencephalography (EEG) and transcranial magnetic stimulation (TMS).

Adam wrote and hosted the nationally-televised PBS special "The Distracted Mind with Dr. Adam Gazzaley" and co-authored the 2016 MIT Press book "The Distracted Mind: Ancient Brains in a High-Tech World" on why our brains aren't evolved for media multitasking, and how we can learn to live with technology in a more balanced way.

Virtual Talk
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Dr. Bob Arnold

Professor of Medicine &

Director

UPMC Palliative and Supportive Care

Pittsburgh, PA

Dr. Bob Arnold is Distinguished Service Professor of Medicine, Section Chief of Palliative Care and Medical Ethics Director, Institute for Doctor-Patient Communication Medical Director, UPMC Palliative and Supportive Institute. Bob has published extensively on ethical issues in end-of-life care, hospice and palliative care, doctor-patient communication, and on ethics education.

His current research interests are focused on educational interventions to improve communication in life-limiting illnesses and to understand how ethical precepts are implemented in clinical practice. He is co-founder of VitalTalk, an evidence-based training program designed to empower clinicians and institutions. The organization has proven that communication skills are learnable.

Plus, they have discovered that clinicians are eager to learn when using the right method. Following the lead of social entrepreneurs, they have disrupted the ineffective continuing education model and are charting a new route towards a culture change in patient-clinician communication.

Their methodology has been perfected through years of refinement. Their evidence-based programs train clinicians to be culturally sensitive, inter-professional and oriented around patient values. As VitalTalk says, "We've seen too many well-intentioned clinicians communicate in ways that led to tragic outcomes. When clinicians communicate effectively, patients retain more information, have higher trust, and a better quality of life. This patient-centered approach is the future of clinical care."

Our Community
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Backstories and Smart Solutions
CMSRN and CCCTM Updates
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Don Everly 

MSN, MBA, RN-BC, CMSRN, ONC, OCNS-C

Nursing Education Specialist and Director

Life-Support Training Center

Cooper University Hospital,

Camden, NJ

Chair, MSNCB CMSRN Recertification Committee

 
Don is enthusiastic about his MSNCB CMSRN Recertification Committee work explaining that “Certification is important, it is number-one, because you can receive higher pay. It also makes families and patients feel more comfortable and confident when they have certified nurses because they view them as smarter and better credentialed.”
 
MSNCB, in addition to its well-respected CMSRN certification, also offers the Certified in Care Coordination and Transition Management (CCCTM®) certification
 

The Medical-Surgical Nursing Certification Board (MSNCB™)’s Certified in Care Coordination and Transition Management (CCCTM®) certification was granted accreditation by the Accreditation Board for Specialty Nursing Certification (ABSNC) just last week.

Those in care coordination and transition management (CCTM) roles work with populations of patients over time, especially those with chronic illnesses/diseases such as diabetes, heart disease, asthma, etc. Medical-surgical nurses don't often realize that they perform many elements of CCTM daily but they do.

CCTM is a practice. It occurs wherever patient care is delivered (e.g., hospitals, clinics, VAs, outpatient centers, doctor’s offices, patient homes, and more) and focuses on individualized patient-centered assessment and care planning.

CCTM roles also play a integral part in advance care planning, EOL and palliative care.

The CCCTM® certification is the first validation for RNs in CCTM roles.  

Learn more about CCTM roles and MSNCB’s CCCTM® certification.

AMSN News
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AMSN Professional Development Resources
Bringing You the Resources and Tools You Need!

AMSN is dedicated to supporting its members with their professional development and obtaining their professional goals.

Learn more about the different AMSN grants and scholarships we offer our members. There is a range of deadlines for 2018 and 2019.

Apply for a grant or scholarship today!

  • Career Mobility Scholarship provides funding to support AMSN members in their pursuit of higher education.
Application Period: January 1-March 31
  • Certified in Care Coordination and Transition Management (CCCTM) Certification Grant provides an opportunity for an AMSN member to receive funding for exam registration to become CCCTM certified.
Application Period: April 1-June 30
  • Certified Medical-Surgical Registered Nurse (CMSRN) Certification Grant provides AMSN members funding for exam registration to become CMSRN certified.
Application Period: March 1–May 31 and September 1–November 30
  • Certified Medical-Surgical (CMSRN) Recertification Grant provides AMSN members funding for registration to renew CMSRN certification.
Application Period: March 1–May 31 and September 1–November 30
  • Convention Grant provides an opportunity for AMSN members to acquire knowledge and expertise in the specialty of medical-surgical nursing by attending the AMSN Annual Convention.
Application Period: January 1-March 31
  • Nurse in Washington Internship (NIWI) Grant provides an opportunity for an AMSN member to attend the Nurse in Washington Internship.
Application Period: August 1–October 31
  • Research Grants provides four types of grants for nursing research to AMSN members.

You may apply for all AMSN Research Grants year-round—there are no open and close dates to submit an application for an AMSN Research Grant!

AMSN Needs You!
Dedicate Your Time to AMSN by Sharing Your Knowledge and Voice!
Podcasts: AMSN Needs Your Ideas
 
 
AMSN Seeking a Name for its Podcast
 
AMSN is planning the launch of a new podcast series for medical-surgical nurses to serve as a spark for inspiration, education, and connection to your medical-surgical nursing community.
 
We want to hear your ideas.
 
If you have a great podcast name in mind, share it via our survey. If your name is selected, you will receive a $50 Amazon Gift Card.
 
Podcasts: AMSN Call for Voice Talent
 
Want to Host AMSN's New Podcast Series?
 
AMSN is looking for member talent to host the new podcast series.
 
AMSN is seeking career medical-surgical nurse members who are outgoing and who are able to bring out the best in others who love medical-surgical nursing.
 
The host should be willing to freely share their personal experiences, bring forth AMSN's voice and reveal the best of those sharing their experiences for others. 
 
Research: AMSN Needs Your Participation

Psychological Capital, Social Capital and Second Victim Syndrome in Registered Nurses

Participate in a research study that consists of a survey to understand your experience with adverse patient events that may or may not have resulted in patient harm.

The event may or may not have been the result of an error by you or a colleague, other healthcare provider and may or may not have resulted in you experiencing psychological, physical or emotional distress.

The purpose of this research study is to examine the relationship between your experience with an adverse patient event and your overall psychological capital and social capital.

Terri Hinkley, Ed.D.(c), MBA, BScN, RN, CEO AMSN hopes to contribute to the knowledge of second victim syndrome, psychological capital and social capital with the results of this study.

AMSN Advocacy in Action
Empowering Your Voice and the Voice of all Medical-Surgical Nurses!
 
AMSN is strengthening your voice in Washington and state capitols and working to keep you better informed on the issues that affect your practice and patients. 
 
In a major recent step, AMSN hosted its first-ever Legislative Intensive on October 19-20 in Washington focused on training 11 volunteer members of the AMSN Legislative Team on vital policy issues important to medical-surgical nurses, fundamentals of health care policymaking, and effective advocacy practices.

Led by Legislative Team Chair Yalanda Comeaux, MSN, RN, CMSRN, the group also met with senior staff on Capitol Hill and a gubernatorial office

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How did the November 6 elections affect medical-surgical nurse issues?

At the polls in Massachusetts, nurses and patients won a victory for professional control of safe hospital staffing, and against mandatory government nurse staffing ratios. By a 70-30 margin, Massachusetts voters defeated Question 1 which would have established mandatory nurse staffing ratios with strict, inflexible penalties for noncompliance. AMSN joined several major local and national professional nurse groups and the Coalition to Protect Patient Safety in opposition to Question 1. AMSN stated the ballot question was inconsistent with AMSN policy and the evidence on safe staffing standards for patient care.

How did nurses fare on election night? At least two were elected to Congress!

Lauren Underwood (D) defeated incumbent Rep. Randy Hultgren (R) in Illinois' 14th District, in the Chicago suburbs and another nurse already in federal office won reelection, Rep. Eddie Bernice Johnson (D-TX).

One nurse in Congress now, Rep. Diane Black (R-TN), lost her primary election for governor earlier in the year and will not return to Congress in January. Donna Shalala (D), the former chair of the Institute of Medicine panel who wrote the landmark report "The Future of Nursing," was elected to the U.S. House in the Miami-based 27th District of Florida. Wisconsin nurse Leah Vukmir (R) lost a bid against Sen. Tammy Baldwin (D-WI).

Who are other nurses in office?

AMSN is working on a report for you. The AMSN Legislative Team and Legislative Advisors are gathering information about nurses taking elective office. Findings will be reported so that every AMSN member will be able to identify nurses in elective office.

Republicans grew their U.S. Senate majority and Democrats gained the House majority, ending one-party government in the nation's capital.

On health policy issues important to AMSN, the election means legislative repeal of the Affordable Care Act (ACA) is less likely but Administration actions to diminish ACA will probably continue. Tighter future budgets might make Title 8 nurse workforce development funding supported by AMSN harder to come by.

Voters elected a record number of women to leadership in Washington.

For the first time, more than 100 women will serve in Congress when session opens in January. At least 95 women will serve in the 435-member House, up from 83. In the Senate, 13 Senators will be women, up from 10 now. The Rutgers University Center for Women in Politics said the new Congress will also include record numbers of women of color and who are serving their first terms in office.

Divided government in Washington will drive more significant health policy action.

The changes in house leadership may affect medical-surgical nurses and their patients. AMSN will work to keep you informed and engaged!

Health care was on the ballot, expanding Medicaid in three Western states.

Idaho, Nebraska and Utah voters supported expanding Medicaid in the recent election.

Thus far, 37 states have expanded Medicaid as authorized by ACA, supporting coverage, access to care and the health of hospitals employing medical-surgical nurses.

Leadership Development
Magic Moments
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Terrie T. Hall

BSN, CMSRN

Clinical Nursing Manager

EmergeOrtho

Wilmington, NC
 

“Every day I go to work I'm ready to provide my patients with excellent care and the services they need to be successful with their health-care plan. I value my job as a leader.  Great leadership guides the success of my staff and the care they give to our patients. Giving my staff the tools and level of encouragement they need to be successful helps provide our patients with the care they deserve and better outcomes. This makes our job meaningful and gives it value beyond recognition.”

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Ann Moore

MS, RN, CMSRN, RN-BC 

Medical-Surgical Professional Development Specialist

Swedish Medical Center

Seattle, WA
 

“Today for me, it is watching my staff grow professionally, which in turn, sets off a passion in them to be better nurses.
 

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Lori Vaughn

RN, CMSRN

Supervisor

CrossRidge Community Hospital

Wynne, AR
 

“I live in a rural area, work in a small community critical access hospital. My patients are like my family. I enjoy helping any way possible to make my patients stay as comfortable and painless as possible. My co-workers are like family.”
 

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Kaleah Simmons

RN, BSN, CMSRN

Utilization Review Nurse 

Robert J. Dole VA Medical Center

Wichita, KS
 

“When the patients ask for you to be their nurse and come by and visit even when not hospitalized. This warms my heart every time.” 
 

Events Calendar and Convention Payment Plan
Maureen Murphy is the 2019 Program Planning Committee Chairperson for the 28th Annual AMSN Convention which will be held in Chicago.
 
AMSN will be back with new educational tracks, opportunities to network and inspirational thought leadership all created to keep you ahead of the curve in professional development and community support. For full details, log on here.
 
Convention Payment Plan
  • Full meeting registration is only $480
  • You save $65
  • Your first payment is due upon your registration and enrollment in the payment plan.
  • The first installment is $90 and requires a $30 non-refundable convenience fee.
  • You make no other payments until 2019
  • Don’t worry, you will be able to select the sessions you plan to attend at convention later.
  • Your next payments will be withdrawn automatically from the account used with the first payment.
  • Each installment will be $90 and will occur on January 25 , March 29 , May 3, and July 26, 2019.
 
September 26-29, 2019
Hilton Chicago
720 S. Michigan Ave
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Poster abstracts are due by May 15, 2019View the Call for Poster Abstracts Submission Guide
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Academy of Medical-Surgical Nurses
PO Box 56 Pitman, New Jersey 08071-0056
(866) 877-AMSN | www.amsn.org | amsn-info@amsn.org
 
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